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This may increase the risk of heart problems and death

Plasma carnitine was found to be increased compared to the control group in 5 (Alonso De La Pena et al., 1990

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The primary mechanism is AMPK activation

The rapid insulin formulation is a clear solution as evidenced from high transmission, with a relatively rapid onset time and fast release profile

FIGURE 1 2 Literature search strategy To support the narrative synthesis, a focused literature search was conducted across PubMed, Web of Science, ScienceDirect, and SpringerLink, targeting English-language, peer-reviewed articles published between 2010 and 2025